Smith, Katie J
Smith, Katie J is an individual health care provider with primary practice located at 220 3Rd Ave W Suite B, Ashland WI 54806-1616. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Smith, Katie J can be contacted via phone (715) 685-9656.Contact Information
Primary practice address
220 3Rd Ave W Suite B
Ashland WI 54806-1616
Phone: (715) 685-9656
Fax: (715) 685-9544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11067-024 | Wisconsin |
Profile Details
| NPI number | 1780840538 |
|---|---|
| LBN Legal business name | Smith, Katie J |
| Credentials | D.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2008 |
| Last updated | Jun 27th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780840538 | NPPES |
| Wisconsin | MEDICAID | 36186100 |
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